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JC: VTU & RUSH + M-Mode

This weeks readings:

Blanco et al. Rapid Ultrasound in Shock Velocity-Time Integral. J Ultrasound Med 2015; 34:1691–1700

Questions:

  1. What clinical advantage do the authors suggest is gained by adding VTI to the RUSH protocol?  Are you convinced?
  2. What technical challenges must the operator overcome to insure accuracy of the VTI measurement?
  3. Do you believe this technique could be modified for use in pediatric patients presenting with shock?

 

Saul, T et al. M-MODE ULTRASOUND APPLICATIONS FOR THE EMERGENCY MEDICINE PHYSICIAN. J of Emerg Med 2015; 1-7

Questions:

  1. Did you know M-mode could be so “icepick” cool?
  2. Should EPSS replace our qualitative assessment of LV function as the best way to determine and report LV disfunction?
  3. Describe how M-mode is used to determine cardiac tamponade.
  4. Should M-mode be used routinely by EM providers in the assessment of pediatric patients with possible HCM?

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